Hypertension with Dr. Johns Flashcards
Per the JNC 7, what is normal BP, prehypertension, stage 1 hypertension and stage 2 hypertension?
normal is under 120/80
preHTN is 120-139/80-89
Stage 1 is 140-150/90-99
Stage 2 is over 160/over100
Per JNC 7, what are the BP treatment goals for non-diabetics and idabetics?
non-diabetics = less than 140/90 diabetis = less than 130/80
What are the main 5 groups of HTN meds?
thiazides beta blokers ACE ARB Calcium channel blockers
Does doubling the dose double the ffectiveness for HTN treatments?
nope
What tend to be the “low renin” groups and how should you treat?
older people, thin people, black people
thiazides, Ca blockers, alpha blockers
What tend to be the “high renin” groups and how hsould you treat?
younger people and overweight people
beta blockers, ACE, ARBs
What the catch qith beta-blockers
a study found they have an increased stroke risk than other drugs
don’t use them as initial therapy
True or false: most of the pople with hTN in the US are well controlled?
false - only 1/3 are controlled
What are some common causes of resistant hypertension?
obstructive sleep apnea
renal aprenchymal disease
primary alodsteronism
renal artery stenosis
How are children classified into normal, prehypertension, stage 1 and stage 2?
It’s all based on percentile:
normal is less than 90%
pre is 90-05%
stage 1 is 95-99%
stage 2 is over 99%
What’s the most common cause of secondary hypertension?
renovascular HTN
What is the prevalence of prehypertension in the US?
about 31% of us
What percentage of people with prehypertension will progress to HTN in a year?
20%
What are the “treatments” for prehypertension?
behavior modifiecation - lose weight, DASH diet, sodium restriction, physical acctivity, moderation of alcohol
